Medical Collectors are shouldered with handling matters pertaining to debts of a healthcare organization. A well-drafted Medical Collector Resume emphasizes on duties such as – drafting repayment plans, collecting payments of overdue account, contacting delinquent account holders and convincing them to pay back the debts, offering lower interest rate that would enable patients to pay back soon, tailoring payment modes depending upon the financial status of patient account, obtaining payments by getting in touch with insurance carriers, and maintaining a detailed record of all payments.
The education requirement for this role may vary, as some employers require only a high school diploma or a GED, or some may need a College-level course for obtaining this position, previous experience will be advantageous for this role. As this job description involves dealing with sensitive information, Medical Collectors are required to comply with strict rules and regulations regulated by the Federal Trade Commission.
Objective : Dedicated Medical Collector with 2 years of experience in managing patient accounts and resolving claims efficiently. Proficient in verifying insurance information and ensuring compliance with regulations. Committed to improving collection rates and enhancing patient satisfaction through effective communication and problem-solving skills. Eager to contribute to a dynamic healthcare team.
Collaborated with the Blue Cross Blue Shield team to resolve denied claims for 27 carriers, enhancing recovery rates.
Utilized spreadsheets and emails to manage aging accounts effectively, prioritizing high-value claims.
Maintained detailed documentation of patient accounts to ensure compliance and accurate reporting.
Updated patient demographics and filed secondary claims to expedite processes.
Contacted insurance companies for claim status updates and resolved discrepancies efficiently.
Refiled claims for reprocessing through multiple communication methods, improving turnaround times.
Coordinated the submission of medical records to insurers for timely reprocessing.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Medical Collector Associate Resume
Objective : Accomplished Medical Collector Associate with 5 years of extensive experience in managing patient accounts and resolving complex billing issues. Expertise in insurance verification and compliance with healthcare regulations. Aiming to enhance revenue cycles and patient satisfaction through strategic communication and meticulous problem-solving.
Conduct thorough reviews of patient bills to ensure accuracy and completeness.
Maintain comprehensive knowledge of insurance policies, including Medicare and Medicaid guidelines.
Identify and bill secondary and tertiary insurance providers as needed.
Perform coding and billing tasks using advanced health information technology systems.
Utilize both electronic health records and paper documentation to maintain legally compliant medical records.
Process claims promptly as payments are received, ensuring accurate account credits.
Analyze insurance payments for accuracy, ensuring compliance with contractual agreements.
Experience
2-5 Years
Level
Junior
Education
AAS-HIT
Medical Collector Resume
Headline : Accomplished Medical Collector with 7 years of expertise in optimizing patient account management and resolving complex billing discrepancies. Skilled in insurance verification, compliance adherence, and implementing effective collection strategies. Passionate about enhancing revenue cycles while fostering positive patient relations and communication.
Skills : Proficient In Epic System, Expertise In Trust Commerce, Proficient In Medisoft, Organizational Skills, Research Skills
Description :
Thoroughly understood state and federal guidelines, ensuring compliance with HIPAA regulations.
Identified and corrected discrepancies in medical documentation, improving accuracy.
Processed claims efficiently, resulting in timely reimbursements from Medicare and commercial insurance.
Maintained compliance with all regulatory requirements for medical collections.
Monitored and reported patient credit balances, ensuring accurate financial records.
Evaluated patient benefits and eligibility with precision to facilitate timely claims.
Summary : Strategic Lead Medical Collector with over 10 years of extensive experience in optimizing collections processes and managing complex patient accounts. Expert in insurance verification, compliance, and improving collection efficiency. Adept at fostering positive relationships with patients and healthcare providers to enhance revenue cycle performance. Committed to driving results through innovative problem-solving and effective communication.
Coordinated with insurance companies to verify claims and expedite payments.
Performed clerical duties, including sorting correspondence and preparing reports.
Processed and submitted applications for insurance coverage, ensuring compliance with regulations.
Maintained detailed documentation of collection activities and account status.
Experience
7-10 Years
Level
Management
Education
B.S. HCA
Medical Collector Resume
Objective : Proficient Medical Collector with 2 years of experience in managing patient accounts and expediting claims resolution. Skilled in verifying insurance details and ensuring adherence to industry regulations. Focused on optimizing collection processes while enhancing patient relations through clear communication and effective problem-solving. Ready to bring expertise to a collaborative healthcare environment.
Skills : Medical Billing Software, Insurance Claims Processing, Data Analysis And Reporting, Patient Interaction, Follow-up Procedures
Description :
Coordinate claim activities and ensure timely reimbursement of receivables.
Managed patient accounts to ensure timely collection of outstanding medical bills.
Determine actions to resolve rejected invoices and initiate corrective measures.
Analyze outstanding accounts receivable and process claims for zero balances.
Support agency personnel in insurance claim processing.
Communicated with patients regarding their account balances and payment options.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Senior Medical Collector Resume
Summary : Seasoned Senior Medical Collector with a decade of expertise in managing complex patient accounts and maximizing revenue recovery. Proficient in navigating insurance verification and compliance, I excel in enhancing collection processes through strategic communication. My commitment to fostering positive relationships with patients and providers drives improved outcomes in the healthcare revenue cycle.
Managed medical collections for national healthcare providers, focusing on substance abuse and mental health services.
Executed follow-ups on electronically and manually billed claims to ensure prompt payments.
Maintained accurate patient contact information and followed compliance protocols.
Conducted thorough insurance verifications and eligibility checks.
Utilized Availity and Navinet for verifying insurance eligibility effectively.
Coordinated with the payment posting department to optimize monthly collections.
Utilized Medisoft and Cybermed billing software for efficient claims processing.
Experience
10+ Years
Level
Senior
Education
B.S. in H.A.
Medical Collector Resume
Headline : Seasoned Medical Collector with 7 years of experience in effectively managing patient accounts and ensuring timely resolution of billing discrepancies. Adept at verifying insurance details, maintaining compliance, and optimizing collection processes. Driven to enhance revenue cycles while delivering exceptional patient service and communication.
Skills : Billing Software Proficiency, Accounts Receivable, Credit Analysis, Record Keeping, Team Collaboration
Description :
Accurately prepared and submitted medical claims, ensuring all documentation met regulatory standards.
Effectively coded and billed for services rendered across various healthcare facilities.
Proactively researched updates on medical billing codes and procedures to enhance knowledge and efficiency.
Managed a multi-line phone system to facilitate communication with patients regarding their accounts.
Handled collections for unpaid medical bills, negotiating payment arrangements with debtors.
Collaborated with healthcare providers to clarify billing policies and resolve discrepancies.
Ensured timely posting and follow-up of all medical claims submitted.
Experience
5-7 Years
Level
Senior
Education
AAS in Med Billing
Medical Billing Collector Resume
Objective : Detail-oriented Medical Collector with over 5 years of experience in managing patient accounts and resolving billing discrepancies. Proficient in insurance verification, payment posting, and collections. Strong communication skills with a proven track record of negotiating payment plans and improving collection rates. Committed to maintaining compliance with healthcare regulations and ensuring patient satisfaction.
Interprets and enforces third-party payer rules, including Medicare requirements, to ensure compliance.
Collaborates with physician offices to resolve coding issues and maintain adherence to policies.
Conducts audits of accounts to guarantee compliance with laws and regulations regarding fraud and abuse.
Monitors Medicare reimbursements and maintains accurate records.
Stays updated on coding policies established by HCFA and relevant third-party payers.
Maintains knowledge of Medicare and third-party contracts related to Ambulatory Surgical Centers (ASCs).
Utilizes billing software to enhance accuracy and efficiency in claims processing.
Experience
2-5 Years
Level
Junior
Education
AAS
Medical Collector Resume
Objective : Motivated Medical Collector with 2 years of hands-on experience in optimizing patient account management and expediting claims resolution. Adept at verifying insurance details and ensuring compliance with healthcare regulations. Focused on enhancing collection efficiency and patient satisfaction through effective communication and problem-solving strategies. Excited to contribute to a progressive healthcare organization.
Gathered and verified insurance information from patients to reconcile overdue accounts.
Reviewed daily collector queue and executed timely follow-ups on pending claims.
Facilitated payment options with patients to resolve claims efficiently.
Maintained strict adherence to HIPAA and FDCPA regulations.
Utilized multiple systems to input and track patient account information accurately.
Delivered exceptional customer service while communicating with patients, attorneys, and insurance companies.
Assessed eligibility for charity care and insurance coverage for patients in need.
Experience
0-2 Years
Level
Entry Level
Education
A.S. HIT
Medical Collector Resume
Objective : Skilled Medical Collector with 2 years of experience in managing patient accounts and efficiently resolving billing issues. Expert in insurance verification and compliance, dedicated to maximizing collection rates while ensuring a positive patient experience. Proven ability to communicate effectively and implement tailored payment plans, contributing to the financial health of healthcare organizations.
Analyzed account data to identify trends and improve collection strategies.
Utilized collection software to track and manage accounts receivable.
Developed payment plans for patients to facilitate debt repayment.
Conducted follow-up calls to patients with overdue accounts.
Educated patients on their financial responsibilities and insurance coverage.
Negotiated payment arrangements with patients to maximize collections.
Develop and implement effective collection strategies to improve overall recovery rates.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Jr. Medical Collections Specialist Resume
Summary : Experienced Jr. Medical Collections Specialist with a decade of expertise in managing patient accounts and enhancing revenue recovery. Proficient in insurance verification, compliance, and effective communication strategies to resolve billing discrepancies. Committed to optimizing collection processes while maintaining positive patient interactions and driving overall financial performance.
Managed patient accounts by accessing billing and medical records systems to ensure accurate documentation of accounts.
Reviewed EOBs and posted payments, resolving nonpayment and underpayment issues through diligent research and corrected claims submissions.
Contacted Medicare, Medicaid, and commercial insurers to resolve outstanding balances and verify coverage.
Prepared and submitted appeal letters, gathering necessary medical records to support claims and facilitate dispute resolution.
Generated patient statements, engaged with patients to discuss overdue accounts, and established payment plans as needed.
Processed attorney requests for medical records, ensuring compliance with legal standards and timely delivery.
Conducted training sessions for new employees on billing and collections processes, fostering a knowledgeable and efficient team.
Experience
7-10 Years
Level
Management
Education
AAS
Medical Collections Specialist/Manager Resume
Summary : Accomplished Medical Collections Specialist with over 10 years of experience in managing patient accounts and optimizing revenue cycle processes. Expertise in insurance verification, compliance, and strategic negotiation to enhance collection rates. Proven ability to foster positive patient relationships while driving organizational success through effective communication and problem-solving.
Managed incoming and outgoing communications to collect overdue medical accounts efficiently.
Conducted thorough follow-ups with insurance providers on unpaid claims to expedite resolution.
Successfully negotiated payment agreements, including settlements and payment plans.
Ensured adherence to FDCPA, HIPAA, and relevant state regulations while processing collections.
Received multiple awards for achieving high quality control standards and performance metrics.
Utilized strong verbal and written communication skills to resolve complex billing inquiries.
Trained new team members on compliance regulations and best practices in collections.
Experience
10+ Years
Level
Senior
Education
B.S. Health Admin.
Medical Collections Specialist Resume
Headline : Experienced Medical Collections Specialist with 7 years of proven success in optimizing patient account management and resolving billing discrepancies. Adept in insurance verification, compliance, and enhancing collection strategies. Committed to improving revenue cycles and patient relations through effective communication and problem-solving. Ready to leverage expertise for organizational growth.
Processed claims through NaviNet for various commercial payers, ensuring timely reimbursements.
Managed claims processing for PA Medicaid via Promise, maintaining compliance with state regulations.
Conducted thorough research on accounts receivable aged 30-120 days, focusing on backdated denial claims.
Engaged with insurers to resolve denials and incorrect payments, enhancing cash flow.
Drafted appeals with comprehensive backup documentation for all Commercial Insurers and Medicaid.
Managed accounts classified as Commercial Bad Debt and Medicare Bad Debt efficiently.
Verified patient authorization with insurers through proactive communication.
Experience
5-7 Years
Level
Executive
Education
AAS
Medical Billing Collector Resume
Objective : Enthusiastic Medical Billing Collector with 2 years of experience in managing accounts and resolving billing discrepancies. Skilled in insurance verification and compliance, dedicated to enhancing collection efficiency. Proven ability to communicate effectively and foster positive patient relationships. Eager to apply my expertise to improve revenue cycles and contribute to a collaborative healthcare team.
Skills : Billing Software Proficiency, Data Entry Accuracy, Record Keeping, Medical Terminology, HIPAA Compliance
Description :
Efficiently managed high volumes of inbound and outbound calls to resolve billing issues.
Addressed customer inquiries with a focus on empathy and professionalism.
Documented and resolved billing discrepancies accurately, enhancing customer trust.
Conducted follow-ups on unpaid accounts, improving overall collection rates.
Collaborated with teams to streamline billing processes and enhance accuracy.
Maintained detailed records of customer interactions and resolutions.
Recommended process improvements based on customer feedback for better service.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Medical Billing Collector Resume
Objective : Results-oriented Medical Billing Collector with two years of experience in managing patient accounts and expediting claims processes. Proficient in insurance verification and ensuring compliance with healthcare regulations. Aiming to enhance collection performance and patient satisfaction through effective communication and analytical problem-solving skills.
Conducted comprehensive aging reports and reconciled patient accounts to optimize collections.
Reviewed and appealed medical claims for underpayments, ensuring accurate billing.
Managed accounts receivable, focusing on maximizing reimbursement rates.
Utilized expertise in PPO, HMO, and government programs to resolve billing issues.
Engaged with patients and insurance companies to collect outstanding balances.
Documented all communication for tracking trends and reporting purposes.
Analyzed payer coverage requirements based on contracts to ensure compliance.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Medical Billing Collector Resume
Summary : Dynamic Medical Billing Collector with a decade of experience in streamlining billing processes and optimizing patient account management. Expert in navigating insurance claims, ensuring compliance, and enhancing collection rates. Passionate about leveraging communication skills to foster strong patient relationships and drive revenue cycle improvements.
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